July 2017 NOTICE OF PRE-QUALIFICATION OF LICENSED UTILITY CONTRACTORS FOR THE INSTALLATION, REPLACEMENT AND/OR RELOCATION OF PRESSURIZED WATER MAINS AND APPURTENANCES The Gwinnett County Board of Commissioners is soliciting applications from Licensed Utility Contractors for pre-qualification to furnish labor, materials and equipment for the installation, replacement and/or relocation of pressurized water mains and appurtenances at various locations throughout Gwinnett County. Special Conditions: The Gwinnett County Department of Water Resources shall comply with O.C.G.A 36-91-20, as amended, for mandatory pre-qualification of prospective bidders. Therefore, interested applicants should obtain a pre-qualification application from the Gwinnett County Purchasing Office, 75 Langley Drive, Lawrenceville, Georgia 30046 [Contact: Holly Cafferata, CPPB, Purchasing Manager, via Telephone (770) 822-8721, or email: Holly.Cafferata@gwinnettcounty.com]. Applications will be evaluated based on established criteria listed in this application. All qualified and disqualified applicants will be notified in writing. Contractors will be considered pre-qualified upon issuance of the tification of Pre- Qualification. Contractors under consideration for pre-qualification may NOT submit bids for projects that have advertised prior to the contractor s receipt of a notice of pre-qualification. The term of the prequalification will expire on July 31, 2022 or when the County determines otherwise. Questions regarding pre-qualification applications should be directed to Holly Cafferata. Applications may be mailed to the Gwinnett County Purchasing Division or submitted via email to Holly Cafferata. The review and approval process will require approximately three weeks from the date the application is received by the Gwinnett County Purchasing Division. Any firm not pre-qualified may direct concerns to Holly Cafferata. Applicant s qualification will be determined based upon the information presented. All questions must be answered in full, without exception. Failure to do so will result in the applicant being deemed nonresponsive, and the application returned to the applicant for completion; and applicant will not be considered for pre-qualification until such time as a complete application is submitted. Although the Purchasing Division will take effort to notify pre-qualified Contractors of bids that are based on the established criteria of the application, it is ultimately the Contractor s responsibility to ensure that they remain abreast of Gwinnett County s solicitations. Depending on the scope and complexity of work to be performed, individual projects may require a project-specific pre-qualification, independent of the standard pre-qualification process. GWINNETT COUNTY DEPARTMENT OF WATER RESOURCES PQ1
COMPANY NAME: PAGE: PQ 2 TO BID GWINNETT COUNTY DEPARTMENT OF WATER RESOURCES CONSTRUCTION PROJECTS Date of Application: Pre-qualification of Contractors for the Installation, Replacement and/or Relocation of Pressurized Water Mains and Appurtenances Type of Project: Description: Pressurized Water Mains and Appurtenances Qualify Licensed Utility Contractors to furnish labor, materials and equipment for the installation, replacement and/or relocation of pressurized water mains and appurtenances at various locations in Gwinnett County. Owner Name: Gwinnett County Applicant Name: NOTE: Gwinnett County reserves the right to approve all personnel provided by the Approved Licensed Utility Contractor including, but not limited to, Project Managers, Project Superintendents, and Subcontractors for any portion of work resulting from this pre-qualification process. PQ2
COMPANY NAME: PAGE: PQ 3 I. INSTRUCTIONS A. Applicant SHALL NOT attach information in lieu of completion of the application document. All information requested by the County SHALL be provided within the application document; however, additional pages may be attached if more space is required (or if additional projects are necessary to demonstrate ability), or as otherwise instructed within the application document. All additional pages SHOULD be clearly labeled with the applicant s name, pre-qualification application title, and page number. B. If necessary, applicant should submit additional projects to prove all pre-qualification requirements are met. C. Reference projects must be complete prior to submittal of pre-qualification application. D. Applicant s qualification will be determined based upon the information presented. All questions must be answered in full, without exception. Failure to do so may result in the applicant being deemed nonresponsive, and the application returned to the applicant for completion; and applicant will not be considered for pre-qualification until such time as a complete application is submitted. E. Only complete and accurate information shall be provided by the Applicant. The Applicant hereby warrants that, to the best of its knowledge and belief, the responses contained herein are true, accurate, and complete. The Applicant should complete the Applicant Certification included in this packet. The Applicant also acknowledges that the Owner is relying on the truth and accuracy of the responses contained herein. If it is later discovered that any material information provided by the Applicant given in response to a question, knowing it was false, shall constitute grounds for immediate disqualification and termination or rescission by the Owner of any subsequent agreement between the Owner and the Applicant. The Owner shall also have and retain any other remedies provided by law. F. If there are any questions concerning the completion of this form, the Applicant is encouraged to contact the Owner s representative: Holly Cafferata, CPPB, Purchasing Manager, Gwinnett County Purchasing Division, via email at Holly.Cafferata@gwinnettcounty.com or telephone at 770-822-8721. G. Poor performance of pre-qualified contractors will be reviewed by the Vendor Performance Committee and/or the Purchasing Policy & Review Committee and could result in the contractor being removed from the pre-qualified vendor list for the remainder of the term of the pre-qualification or as otherwise determined by the committee. In addition, the contractor may be placed on the Ineligible Source List. H. Corporations (including principal/corporate officers), Partners, and/or Individuals interested in being considered for pre-qualification with Gwinnett County SHALL NOT be currently under indictment for criminal misconduct involving any local, state or federal government entity. PQ3
COMPANY NAME: PAGE: PQ 4 II. GENERAL BACKGROUND A. Current name and address of Applicant: 1. Applicant Name: Mailing City: State and Zip: Business City: State and Zip: Telephone and Fax: E-mail: 2. Applicant is: Licensed to conduct utility business in the State of Georgia? If, Provide Applicants State of Georgia Utility License Number: B. Principals/Officers/Individuals authorized to sign contracts: Name and Title: Name and Title: Name and Title: C. Is applicant currently under indictment for criminal misconduct involving any local, state or federal government entity? Has applicant ever been indicted involving any local, state or federal government entity? If so, what was the disposition of the charges? PQ4
COMPANY NAME: PAGE: PQ 5 III. MINIMUM PRE-QUALIFICATION CRITERIA Contractors can submit and be qualified on all sub-sections, or specific sub-sections, which directly relate to their firm s experience only. Experience claimed for current personnel, while they were employed by another firm, WILL NOT be accepted. Please note that approval on limited sub-sections will restrict notification of projects to that type of work, only. The various sub-sections are as follows. Beginning on the following pages, list projects as noted below: 1) Pressurized water mains (small) 8 to less than 16 diameter and appurtenances. - PQ7 through PQ9 2) Pressurized water mains (medium) 16 to less than 24 diameter and appurtenances. - PQ10 through PQ12 3) Pressurized water mains (large) 24 and greater diameter and appurtenances. - PQ13 through PQ15 NOTE: If a Contractor is approved for a higher category Sub-section, they are automatically approved for all categories below that Sub-section (i.e Approved for Sub-section 3, automatically approved for Subsection 2 and 1; Approved for Sub-section 2, automatically approved for Sub-section 1). Sub-section 1) Water Mains (Small) The satisfactory completion of: Requirement Met? Requirement Three (3) pressurized water main projects consisting of 8 to less than 16 diameter ductile iron pipe (DIP) and appurtenances, of 500 linear feet or more per project, within the past eight (8) years. Three (3) projects where the applicant must have been the Licensed Utility Contractor. Two (2) projects that must have involved coordination and work in conjunction with other utilities. One (1) project that must have been performed directly for a utility or other government entity. Three (3) projects that must have been constructed within the right-of-way and/or at a road intersection, and required traffic diversion/maintenance. Two (2) projects that must have included the relocation and/or adjustment of customer water meters. Two (2) projects that must have had rock excavation. Two (2) projects that must have been constructed in an established landscaped area and involved the restoration of landscaping. One (1) project that must have had an 8 or larger live tap with tapping sleeve and valve. PQ5
COMPANY NAME: PAGE: PQ 6 Sub-section 2) Water Mains (Medium) The satisfactory completion of: Requirement Met? Requirement Three (3) pressurized water main projects consisting of 16 to less than 24 diameter ductile iron pipe (DIP) and appurtenances, of 1,000 linear feet or more per project, within the past eight (8) years. Three (3) projects where the applicant must have been the Licensed Utility Contractor. Two (2) projects that must have involved coordination and work in conjunction with other utilities. One (1) project that must have been performed directly for a utility or other government entity. Three (3) projects that must have been constructed within the right-of-way and/or at a road intersection, and required traffic diversion/maintenance. Two (2) projects that must have included the relocation and/or adjustment of customer water meters. Two (2) projects that must have had rock excavation. Two (2) projects that must have been constructed in an established landscaped area and involved the restoration of landscaping. One (1) project that must have had a 16 or larger live tap with tapping sleeve and valve. Sub-section 3) Water Mains (Large) The satisfactory completion of: Requirement Met? Requirement Three (3) pressurized water main projects consisting of 24 and greater diameter ductile iron pipe (DIP) and appurtenances, of 1,000 linear feet or more per project, within the past eight (8) years. Three (3) projects where the applicant must have been the Licensed Utility Contractor. Two (2) projects that must have involved coordination and work in conjunction with other utilities. One (1) project that must have been performed directly for a utility or other government entity. Three (3) projects that must have been constructed within the right-of-way and/or at a road intersection, and required traffic diversion/maintenance. Two (2) projects that must have included the relocation and/or adjustment of customer water meters. Two (2) projects that must have had rock excavation. Two (2) projects that must have been constructed in an established landscaped area and involved the restoration of landscaping. One (1) project that must have had a 16 or larger live tap with tapping sleeve and valve. PQ6
COMPANY NAME: PAGE: PQ 7 IV. COMPANY EXPERIENCE SIMILAR PROJECTS COMPLETED A. Sub-section 1): Project. 1 - Pressurized water mains 8 to less than 16 diameter and appurtenances Contact Person E-mail Contact Person E-mail Contract Dates: Date of tice to Proceed: Date of Final Completion: Pipe Material: Pipe Length: Did this project include an 8 or larger live tap with tapping sleeve and valve? PQ7
COMPANY NAME: PAGE: PQ 8 B. Sub-section 1): Project. 2 - Pressurized water mains 8 to less than 16 diameter and appurtenances Contact Person E-mail Contact Person E-mail Contract Dates: Date of tice to Proceed: Date of Final Completion: Pipe Material: Pipe Length: Did this project include an 8 or larger live tap with tapping sleeve and valve? PQ8
COMPANY NAME: PAGE: PQ 9 C. Sub-section 1): Project. 3 - Pressurized water mains 8 to less than 16 diameter and appurtenances Contact Person E-mail Contact Person E-mail Contract Dates: Date of tice to Proceed: Date of Final Completion: Pipe Material: Pipe Length: Did this project include an 8 or larger live tap with tapping sleeve and valve? PQ9
COMPANY NAME: PAGE: PQ 10 A. Sub-section 2): Project. 1 - Pressurized water mains 16 to less than 24 in diameter and appurtenances Contact Person E-mail Contact Person E-mail Contract Dates: Date of tice to Proceed: Date of Final Completion: Pipe Material: Pipe Length: Did this project include a 16 or larger live tap with tapping sleeve and valve? PQ10
COMPANY NAME: PAGE: PQ 11 B. Sub-section 2): Project. 2 - Pressurized water mains 16 to less than 24 in diameter and appurtenances Contact Person E-mail Contact Person E-mail Contract Dates: Date of tice to Proceed: Date of Final Completion: Pipe Material: Pipe Length: Did this project include a 16 or larger live tap with tapping sleeve and valve? PQ11
COMPANY NAME: PAGE: PQ 12 C. Sub-section 2): Project. 3 - Pressurized water mains 16 to less than 24 in diameter and appurtenances Contact Person E-mail Contact Person E-mail Contract Dates: Date of tice to Proceed: Date of Final Completion: Pipe Material: Pipe Length: Did this project include a 16 or larger live tap with tapping sleeve and valve? PQ12
COMPANY NAME: PAGE: PQ 13 A. Sub-section 3): Project. 1 - Pressurized water mains 24 and greater in diameter and appurtenances Contact Person E-mail Contact Person E-mail Contract Dates: Date of tice to Proceed: Date of Final Completion: Pipe Material: Pipe Length: Did this project include a 16 or larger live tap with tapping sleeve and valve? PQ13
COMPANY NAME: PAGE: PQ 14 B. Sub-section 3): Project. 2 - Pressurized water mains 24 and greater in diameter and appurtenances Contact Person E-mail Contact Person E-mail Contract Dates: Date of tice to Proceed: Date of Final Completion: Pipe Material: Pipe Length: Did this project include a 16 or larger live tap with tapping sleeve and valve? PQ14
COMPANY NAME: PAGE: PQ 15 C. Sub-section 3): Project. 3 - Pressurized water mains 24 and greater in diameter and appurtenances Contact Person E-mail Contact Person E-mail Contract Dates: Date of tice to Proceed: Date of Final Completion: Pipe Material: Pipe Length: Did this project include a 16 or larger live tap with tapping sleeve and valve? PQ15
COMPANY NAME: PAGE: PQ 16 APPLICANT CERTIFICATION I certify to the Owner that the information and responses provided on this Application for Pre-Qualification are true, accurate and complete. The Owner, or its designated representative, may contact any entity or reference listed in this Application. Each entity or reference may make any information concerning the Applicant available to the Owner or its designated representative. Sworn to before me this day of 20. APPLICANT: By: Title: Sworn to and subscribed before me this day of 20. My Commission Expires: tary Public Seal PQ16